摘要
目的探究腹腔镜胃癌D2根治术与传统开腹胃癌D2根治术治疗进展期胃癌的手术疗效。方法回顾性分析2015年6月～2017年6月60例进展期胃癌患者资料,根据手术方法不同对患者实施分组,开腹组27例,给予传统开腹胃癌D2根治术治疗;腹腔镜组33例,给予腹腔镜胃癌D2根治术治疗。采用统计学软件SPPSS18. 0进行处理。两组手术相关指标、VAS评分以及总体健康评分选择标准差(x珋±s)表示,采取独立t检验;两组并发症率用%表示,进行χ2检验,P <0. 05差异有统计学意义。结果腹腔镜组患者术中出血量、胃肠功能恢复时间及住院时间等均优于开腹组(P <0. 05);腹腔镜组患者术后VAS评分、总体健康评分均显著优于开腹组(P <0. 05);腹腔镜组患者术后总并发症发生率占6. 1%,显著低于开腹组的25. 9%,两组差异均有统计学意义(P <0. 05)。结论腹腔镜胃癌D2根治术治疗进展期胃癌,创伤小、安全性高,有利于缓解疼痛,提升患者生活质量,并发症少,值得推广应用。
Objective To explore the clinical effect of laparoscopic radical gastrectomy （D2） and traditional open radical gastrectomy （D2） for advanced gastric cancer. Methods Retrospective analysis of 60 cases of advanced gastric cancertreated in our hospital from June 2015 to June 2017 years were performed , according to the different surgical methods, the patients were divided into two groups, 27 cases of laparotomy group were given traditional open stomach gastric cancer D2 radical gastrectomy, 33 cases of laparoscopic group were given laparoscopic D2 radical gastrectomy. The data were processed on the statistical software SPPSS18.0. The surgical related indicators, such as VAS scores and the overall health score were showed as （ x^-±s） standard deviation, and compared with independent t test, the complications were expressed with%, and compared with χ 2 test, P 〈0.05 was statistically significant. Results The amount of bleeding, the recovery time of gastrointestinal function and the time of hospitalization in the laparoscopic group were better than those in the open group （P 〈0.05）. The VAS score and the overall health score of the laparoscopic group were significantly better than those in the open group （P 〈0.05）, and the total complication rate of the laparoscopic group was 6.1%, which was significantly lower than that of the laparotomy group （25.9%）. The difference between the two groups was statistically significant （P 〈0.05）. Conclusion Laparoscopic D2 radical gastrectomy for advanced gastric cancer is good and safe in the treatment of advanced gastric cancer. It is beneficial to relieve pain, improve the quality of life and less complications . It is worth popularizing.
作者
高增战
李树营
Gao Zengzhan;Li Shuying(Department of general surgery,Shaanxi People＇s Hospital,Xi＇an,Shaanxi,710068;Yulin Hengshan District People＇s Hospital,Shaanxi,Yulin,719200)
出处
《中华普外科手术学杂志（电子版）》
2018年第6期520-522,共3页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
关键词
胃肿瘤
腹腔镜检查
剖腹术
疗效比较研究
Stomach Neoplasms
Laparoscopy
Laparotomy
Comparative Effectiveness Research
